The nurse is caring for a client with a history of chronic obstructive pulmonary disease who is receiving oxygen therapy. Which assessment should the nurse prioritize?

Monitor oxygen saturation

Check skin color

Assess for chest pain

Measure blood pressure

Answer and Explanation

The Correct Answer is A

Choice A reason: Monitoring oxygen saturation is critical in COPD, as oxygen therapy aims to maintain saturation (88–92%) to prevent hypoxia. Pulse oximetry ensures adequate oxygenation, guiding therapy adjustments, making it the priority assessment to prevent respiratory failure and optimize lung function.

Choice B reason: Checking skin color assesses cyanosis but is less precise than oxygen saturation. Pulse oximetry provides objective data on oxygenation in COPD, guiding oxygen therapy, making it the priority over subjective visual assessments, which are secondary to quantitative measures.

Choice C reason: Assessing chest pain is relevant for cardiac issues but not the primary concern in COPD oxygen therapy. Oxygen saturation directly evaluates therapy effectiveness, preventing hypoxia, making it the priority assessment to ensure respiratory stability in chronic lung disease.

Choice D reason: Measuring blood pressure monitors cardiovascular status but is secondary to oxygenation in COPD. Oxygen saturation is critical, as hypoxia exacerbates respiratory distress, requiring immediate assessment to adjust oxygen therapy, making it the priority over hemodynamic evaluations.

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Correct Answer is A

Explanation

Choice A reason: Priming an ipratropium inhaler typically requires 2 pumps, not 7, to ensure proper dosing. Excessive priming wastes medication and may reduce the inhaler’s lifespan. This action indicates misunderstanding of device preparation, necessitating further teaching to ensure effective administration and therapeutic outcomes.

Choice B reason: Attaching a spacer device enhances ipratropium delivery by improving aerosol deposition in the lungs, especially in COPD patients with poor inhalation technique. This is correct, as spacers reduce oropharyngeal deposition, minimizing side effects and maximizing bronchodilation, requiring no additional teaching.

Choice C reason: Storing ipratropium at room temperature is correct, as extreme temperatures can degrade the medication’s efficacy. This action aligns with manufacturer guidelines, ensuring the inhaler’s stability and effectiveness, indicating proper understanding and eliminating the need for further teaching on storage.

Choice D reason: Rinsing the mouth after ipratropium use is appropriate, as it reduces local side effects like dry mouth or throat irritation from residual medication. This correct action prevents complications, showing proper technique and understanding, so no additional teaching is required for this step.

A. Hemoglobin B. Glucose C. Total protein D. Sodium

Correct Answer is A

Explanation

Choice A reason: Diclofenac, an NSAID, can cause gastrointestinal bleeding, leading to anemia. Pale appearance and fatigue suggest blood loss. Reviewing hemoglobin levels is critical to confirm anemia, as low hemoglobin impairs oxygen delivery, exacerbating fatigue and requiring immediate intervention to address potential bleeding.

Choice B reason: Glucose levels are unrelated to diclofenac’s common side effects. Fatigue may occur in hypoglycemia, but diclofenac does not typically affect glucose metabolism. Pale appearance and fatigue are more indicative of anemia from NSAID-related bleeding, making hemoglobin a more urgent lab value to review.

Choice C reason: Total protein levels reflect nutritional status or liver function but are not directly linked to diclofenac’s side effects. Fatigue and pallor suggest anemia from gastrointestinal bleeding, a known NSAID risk. Hemoglobin is more critical to assess, as it directly correlates with the client’s symptoms.

Choice D reason: Sodium levels influence fluid balance but are not typically altered by diclofenac. Fatigue and pallor point to anemia from potential bleeding, not electrolyte imbalance. Hemoglobin review is prioritized, as diclofenac’s gastrointestinal side effects are more likely to cause blood loss than sodium disturbances.

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The nurse is caring for a client with a history of chronic obstructive pulmonary disease who is receiving oxygen therapy. Which assessment should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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